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Australas Psychiatry. 2016 Dec;24(6):583-588. Epub 2016 Jun 20.

Evaluation of changes in prescription medication use after a residential treatment programme for borderline personality disorder.

Author information

1
Senior Research Fellow, Spectrum, Eastern Health, Ringwood East, VIC, Australia Jillian.Broadbear@easternhealth.org.au.
2
Senior Psychologist, Spectrum, Eastern Health, Ringwood East, VIC, Australia.
3
Clinical psychologist, Private Practice, Melbourne, VIC, Australia.
4
Senior Research Fellow, Orygen Youth Health Clinical Program, Melbourne, VIC, Australia.
5
Senior Psychiatry Consultant, Spectrum, Eastern Health, Melbourne, VIC, Australia.
6
Executive Clinical Director, Spectrum, Eastern Health, Ringwood East, VIC, Australia.

Abstract

OBJECTIVE:

Residential patients diagnosed with borderline personality disorder were evaluated to determine whether borderline personality disorder-focused psychotherapy reduced prescribing, personality disorder and co-morbid symptom severity.

METHOD:

Psychotropic prescriptions were measured at admission, discharge and 1 year later in 74 female participants with one or more personality disorder diagnosis and co-morbid mood disorders. Changes in pharmacotherapy were examined in the context of improvements in borderline personality disorder and/or co-morbid disorder symptom severity. Residential treatment included individual and group psychotherapy for borderline personality disorder. The Structured Clinical Interview for DSM-IV was used to confirm the borderline personality disorder diagnosis and associated co-morbid conditions. The Beck Depression Inventory was completed at each time point.

RESULTS:

A significant reduction in the incidence and severity of self-rated depression as well as clinician assessed personality disorder, including borderline personality disorder, was accompanied by a reduction in prescription of psychoactive medications.

CONCLUSIONS:

Three to six months of intensive borderline personality disorder-specific psychotherapy showed lasting benefit with regard to symptom severity of personality disorders (borderline personality disorder in particular) as well as depressive symptoms. This improvement corresponded with a reduction in prescriptions for psychoactive medications, which is consistent with current thinking regarding treatment for borderline personality disorder.

KEYWORDS:

borderline personality disorder; depression; polypharmacy; prescription medication; psychotherapy

PMID:
27324148
DOI:
10.1177/1039856216654391
[Indexed for MEDLINE]

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